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The dual agonists targeting GLP-1 and another receptor (GIP) do not retard gastric emptying, based on reports to date

A 2023 systematic review and meta-analysis of 82 RCTs (10,332 patients) examined probiotics for IBS symptoms, and for abdominal bloating or distension reported only very low certainty in the evidence for a benefit, with some specific combination probiotics and Bacillus strains showing potential signals.[5] Certainty grading reflects how confident the analysis is in the effect estimate

It may be a consequence of the drugs incredible effectiveness

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Smaller portions are the norm when taking weight management meds, so its even more important that food and supplements are nutritionally dense, with the right amount of protein, fibre, vitamins and minerals